牙周病: 一种全身性疾病
German E M Villoria1,2, Ricardo G Fischer1, Eduardo M B Tinoco1
1Department of Periodontology, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Periodontology 2000
|November 4, 2024
概括
牙周炎,传统上被视为局部口腔疾病,越来越被认为是一种全身性疾病. 这种范式转变凸显了它对整体健康的影响及其与其他慢性非传染性疾病的联系.
科学领域:
- 牙周病学 牙周病学
- 系统健康 系统健康
- 慢性疾病流行病学 慢性疾病流行病学
背景情况:
- 牙周炎在历史上被认为是一种局部炎症状况,只影响口腔组织.
- 许多研究表明牙周炎与各种非传染性疾病 (NCD) 之间存在关联,包括心血管疾病,类风湿性关节炎和糖尿病.
- 然而,因果关系和牙周炎作为独立风险因素的作用仍然很难确定,因为许多研究的横截面性质和最近与多病症相关.
研究的目的:
- 提出一种模式转变,将牙周炎视为一种全身性疾病,而不仅仅是局部口腔疾病.
- 强调牙周炎会影响个体的整体系统状况和福祉.
- 倡导牙科和医疗专业将这种新视角纳入研究和临床实践.
主要方法:
- 这是一份意见书,综合了现有研究,并提出了一个新的概念框架.
- 它审查了牙周炎和其他全身性疾病之间的共同风险因素 (环境,生活方式,遗传) 和免疫病理.
- 它分析了与牙周炎相关的促炎,促血栓和免疫状态.
主要成果:
- 牙周炎与许多全身性疾病具有共同的风险因素和免疫病理.
- 系统性疾病可以产生一种促炎症状态,增加对其他慢性疾病的易感性,这种现象也在牙周炎中观察到.
- 牙周炎本身可以影响其他全身性疾病的易感性和进展,反之,并发病症可以影响牙周病.
结论:
- 牙周炎应该被认为是一种全身性疾病,对个人整体健康有重大影响.
- 这种观点将牙周病重新定义为慢性非传染性疾病的部分.
- 采用这种观点有助于理解牙周炎作为一种共同疾病,并认识到其他共同疾病如何影响其发病和进展.
相关概念视频
01:15Teeth
327
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
327
01:23Rheumatic Heart Disease I: Introduction
3
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
3
01:21Tooth Anatomy
374
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
374
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.7K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.7K
01:30Pneumonia I: Introduction
211
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
211